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Kaplan Qbank USMLE



Author7 Posts
  #1

26. A 45-year-old man comes to the physician for a follow-up visit. He has had recurrent ulcer disease for 8 years; his symptoms are currently relieved with antacid therapy. He had one episode of bleeding 1 year ago that required a blood transfusion. He appears pale. His hemoglobin level is 10.6 g/dL, mean corpuscular volume is 78 μm3, and reticulocyte count is 0.8%. Which of the following additional laboratory findings is most likely?

Serum Iron Iron-binding Capacity (TIBC) Saturation of Serum Ferritin
(μg/dL) (μg/dL) (N=250–400) TIBC (%) (ng/mL)

A ) 30 120 25 50
B ) 40 360 11 10
C ) 60 180 33 80
D ) 80 200 40 120
E ) 100 150 67 600

B? What is the difference between TIBC and TIBC saturation? Thanks.


  #2

but TIBC should much higher than 360

  #3

B
TIBC is increased when there are more empty places on it for iron binding.
TIB saturations is increased when there is less empty place.

  #4

in Fe de the serum iron will be low and TIBC high
In Anemia of chronic dis Fe low and TIBC Low


  #5

B

___________________
syra

  #6

yes its B.

  #7

nodnod

Is there any simple way can we remember the saturation % and the TIBC...Is it inversely proportional???







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